海桐皮汤熏洗治疗Ⅱ型痛性足副舟骨的临床效果  

Clinical effect of Haitongpi Decoction fumigation and washing on type Ⅱ painful accessory navicular bone

作　　者：李慎富 朱付平[2] 顾启帆 陈科祥 LI Shenfu;ZHU Fuping;GU Qifan;CHEN Kexiang(Hunan University of Chinese Medicine,Hunan,Changsha 410208,China;The First Hospital of Hunan University of Chinese Medicine,Hunan,Changsha 410007,China)

机构地区：[1]湖南中医药大学,湖南长沙410208 [2]湖南中医药大学第一附属医院,湖南长沙410007

出　　处：《中国医药科学》2024年第6期17-20,共4页China Medicine And Pharmacy

基　　金：国家自然科学基金(81674008,82274541)。

摘　　要：目的采用随机对照试验探究海桐皮汤熏洗对于Ⅱ型痛性足副舟骨(PAN)治疗的临床效果。方法选取2019年9月至2022年12月湖南中医药大学第一附属医院足踝关节与矫形科接诊的252例Ⅱ型PAN患者,随机分成两组,试验组126例,对照组126例。对照组仅进行常规抗炎镇痛处理措施,试验组加入海桐皮汤熏洗联合治疗。比较两组治疗1周后的疼痛数字评定量表(NRS)评分、美国足踝矫形外科协会(AOFAS)中足功能评分、Maryland足功能评分以及6个月后随访手术率。结果治疗1周后试验组总有效率高于对照组(92.06%>80.16%),6个月后随访,试验组手术率低于对照组(6.35%<17.46%),试验组疼痛评分、肿胀评分、AOFAS中足功能评分、Maryland足功能评分均优于对照组,差异有统计学意义(P<0.05);两组不良反应发生率(4.76%vs.3.17%)比较,差异无统计学意义(P>0.05)。结论海桐皮汤熏洗对于Ⅱ型PAN有治疗效果,在临床上具有推广意义。Objective To explore the clinical effect of Haitongpi Decoction fumigation and washing on typeⅡpainful accessory navicular bone by randomized controlled trials.Methods A total of 252 typeⅡPAN patients admitted to the Foot and Ankle Joint,Orthopedics Department of the First Hospital of Hunan University of Chinese Medicine from September 2019 to December 2022 were randomly divided into two groups:an experimental group of 126 patients and a control group of 126 patients.The control group only received routine anti-inflammatory and analgesic measures,while the experimental group was treated with the combination of fumigation and washing with Haitongpi Decoction.The numerical rating scale(NRS)score,American orthopaedic foot and ankle society score(AOFAS),Maryland foot score after one week of treatment,and follow-up surgery rate after 6 months of the two groups were compared.Results After one week of treatment,the effective rate of the experimental group was higher than that of the control group(92.06%>80.16%).Follow-up surgery rate after 6 months of the experimental group was lower than that of the control group(6.35%<17.46%).The NRS score,swelling score,AOFAS score,and Maryland foot score of the experimental group were better than those of the control group,with statistically significant differences(P<0.05).Adverse reactions occurred in two groups There was no significant difference in the birth rate(4.76%vs.3.17%)(P>0.05).Conclusion Haitongpi Decoction has a therapeutic effect on type Ⅱ PAN,which indicates a clinical significance for promotion.

关 键 词：海桐皮汤 痛性足副舟骨 中药熏洗 临床效果 

分 类 号：R687.3[医药卫生—骨科学]